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Facts & FiguresProfessional football In the mine & construction sector:      In football: 0.02 injuries/ 1000 hrs         ...
1990 -2009 Athletic Factors•   Increased distances covered in ALL positions.•   Increased distances covered at high speed....
Injury                      preventionInjury prediction –                  Interdisciplinary                         Fatig...
Injury Mechanism               Risk factors                                                                         Injury...
Interne factoren - Voorbestemde atleet
13 december 2006    Club Brugge    Blessurepreventie                        Mannaseh IshiakuD                       24 jaa...
13 december 2006    Club Brugge    Blessurepreventie    Knie flexie         Juli ’06       206     Knie extensie         J...
Top 10 Sport Sciences, IF 2.5
Injury prevention screening   Screening intrinsic risk factors   •   Functional screening             •Adapted   FMS   •  ...
Injury Prediction Algorithm1. Screen Intrinsic risk factors2. Analyse workload3. Monitor players Individual risk profile...
Individual                                risk profile•   Compare 2 or more    moments in time•   Injury sensitive zones• ...
Injury Mechanism               Risk factors                                                                         Injury...
Externe factoren - Vatbare atleet
Injury Mechanism               Risk factors                                                                         Injury...
Influence V4mmol on the injury risk / Hamstrings
Resultaten1e helft   Ru   2e helft           st
Conceptueel model overuse                                       Wanneer een muskuloskeletale                              ...
Overbelastingszone
Thigh Posterior R Validation
Injury                    prevention                                   Interdisciplinary                       FatigueInju...
Onderzoeksopzet 2The influence of medical attention injuries on            future time loss injuries                 Steve...
Resultaten
Diagnosis form1          1. Select player & set prognosis           2. Diagnosis: Select type of injury2           3. Sele...
• 18 European Top  teams• Case: Team  working with  TopSportsLab• Analysis injuries &  benchmarking with  other teams• Evo...
Number of training & matches   missed due to injuries
Injury prediction
Injury prediction
Injury prediction
Injury prediction
Injury prediction
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Injury prediction

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Injury prediction

  1. 1. Facts & FiguresProfessional football In the mine & construction sector: In football: 0.02 injuries/ 1000 hrs 25.9 injuries/ 1000 hrs
  2. 2. 1990 -2009 Athletic Factors• Increased distances covered in ALL positions.• Increased distances covered at high speed.• Increased speed and power - ( higher intensity.)• Game is played at quicker pace – (ball & player speeds.)• Number of sprints per game in Premiership has doubled since 2002.• Average number of high intensity activities has almost doubled since 2002.• Change in player body-type to muscular mesomorph.• Higher levels of body strength are now required.• Increased resistance to injury now more apparent.• Diet, nutritional understanding has improved significantly.• Pre – hab sessions now incorporated.• Recovery & regeneration strategies greatly enhanced.• Larger player pools and nationalities / ethnicities.• Increased number and use of substitutes.
  3. 3. Injury preventionInjury prediction – Interdisciplinary Fatigue Intrinsieke Approach (Shakthar management risicofactoren Donetsk)
  4. 4. Injury Mechanism Risk factors Injury mechanism Internal risk factors External risk factors Inciting eventsNature Predisposed athlete Susceptible athlete Susceptible athlete Age Human factors Training program Injured athlete Gender  Referee  Daily training  Cycle 2 Height  Team mate Anatomy  Opponent  Periodisation Health  Environment  Workload Physical Fitness Proprioception  Weather  Surface .  Fatigue  Season planning  Maintenance  Joint motion Skill level  Sports equipment  Warming up Flexibility  Clothes  Unprepared Muscular balances  Shoes  Prepared Muscular strength  Protective equipment  Skill performanceNurture (training)  Shin guards  Helmet 1. Screening and detecting intrinsic risk factors 2. Monitoring workload & Managing fatigue Bahr & Krosshaug. (2005). Injury mechanism
  5. 5. Interne factoren - Voorbestemde atleet
  6. 6. 13 december 2006 Club Brugge Blessurepreventie Mannaseh IshiakuD 24 jaari Datum: 05-08 – 22-8 – 23-10 Onbeschikbaar: 8 wekenag Diagnose:n Ruptuur 2de graad biceps femorisos Hoe:e Tijdens de wedstrijd – zie beelden
  7. 7. 13 december 2006 Club Brugge Blessurepreventie Knie flexie Juli ’06 206 Knie extensie Juli ’06 278 (hamstrings) R (quadriceps) RP Knie flexie Juli ’06 134 Knie extensie Juli ’06 210r (hamstrings) L Verschil R-L Juli ’06 72 (quadriceps) L Verschil R-L Juli ’06 68e Gemmidelde Juli ’06 170 Gemiddelde Juli ’06 244d Positie in de groep Juli ’06 17/24 Gemiddelde groep Juli ’06 272,35i Verschil met de groep Juli ’06 -18,1 Verschil met de groep Juli ’06 -28,4c Knie ratio R Juli ’06 74 % Knie ratio L Juli ’06 64 % Doelstelling knie December ‘06 Ok % Doelstelling knie December ‘06 73.6 %t ratio R ratio Lo Verschil R-L Verschil met de Juli ’06 Juli ’06 10 -1 % Gemiddelde Gemiddelde groep Juli ’06 Juli ’06 69 70 %r groep Knie eccentrisch Juli ’06 -329 Knie eccentrisch R Juli ’06 -278e R Verschil R-L Juli ’06 51 Gemiddelde Juli ’06 -303,5n Verschil met de Juli ’06 -61,8 Positie in de groep Juli ’06 2/24 groep
  8. 8. Top 10 Sport Sciences, IF 2.5
  9. 9. Injury prevention screening Screening intrinsic risk factors • Functional screening •Adapted FMS • Flexibility • Anthropometric • Girth measurements • Functional strength tests • Physical tests • Jump tests
  10. 10. Injury Prediction Algorithm1. Screen Intrinsic risk factors2. Analyse workload3. Monitor players Individual risk profile Most susceptible body zones Develop appropriate prevention programs
  11. 11. Individual risk profile• Compare 2 or more moments in time• Injury sensitive zones• Evolution through adapted program• Quality control
  12. 12. Injury Mechanism Risk factors Injury mechanism Internal risk factors External risk factors Inciting eventsNature Predisposed athlete Susceptible athlete Susceptible athlete Age Human factors Training program Injured athlete Gender  Referee  Daily training  Cycle 2 Height  Team mate Anatomy  Opponent  Periodisation Health  Environment  Workload Physical Fitness Proprioception  Weather  Surface .  Fatigue  Season planning  Maintenance  Joint motion Skill level  Sports equipment  Warming up Flexibility  Clothes  Unprepared Muscular balances  Shoes  Prepared Muscular strength  Protective equipment  Skill performanceNurture (training)  Shin guards  Helmet 1. Screening and detecting intrinsic risk factors 2. Monitoring workload & Managing fatigue Bahr & Krosshaug. (2005). Injury mechanism
  13. 13. Externe factoren - Vatbare atleet
  14. 14. Injury Mechanism Risk factors Injury mechanism Internal risk factors External risk factors Inciting eventsNature Predisposed athlete Susceptible athlete Susceptible athlete Age Human factors Training program Injured athlete Gender  Referee  Daily training  Cycle 2 Height  Team mate Anatomy  Opponent  Periodisation Health  Environment  Workload Physical Fitness Proprioception  Weather  Surface .  Fatigue  Season planning  Maintenance  Joint motion Skill level  Sports equipment  Warming up Flexibility  Clothes  Unprepared Muscular balances  Shoes  Prepared Muscular strength  Protective equipment  Skill performanceNurture (training)  Shin guards  Helmet 1. Screening and detecting intrinsic risk factors 2. Monitoring workload & Managing fatigue Bahr & Krosshaug. (2005). Injury mechanism
  15. 15. Influence V4mmol on the injury risk / Hamstrings
  16. 16. Resultaten1e helft Ru 2e helft st
  17. 17. Conceptueel model overuse Wanneer een muskuloskeletale structuur onderhevig is aan een100% aan intensiteit/omvang combinatie dat kort bij de Injury Treshold blessuregrens ligt, maar er tcoh onder, zal er een positieve remodelatie van deze structuur ontstaan. Injury zone50% Training – overuse injury Training Non-Injury zone0% 60min 120min 180min Omvang
  18. 18. Overbelastingszone
  19. 19. Thigh Posterior R Validation
  20. 20. Injury prevention Interdisciplinary FatigueInjury prediction Approach (Shakthar management Donetsk)
  21. 21. Onderzoeksopzet 2The influence of medical attention injuries on future time loss injuries Steven Probst Prof. Dr. Werner Helsen Jan Van Winckel
  22. 22. Resultaten
  23. 23. Diagnosis form1 1. Select player & set prognosis 2. Diagnosis: Select type of injury2 3. Select structure and side3 4. Add extra information about the injury mechanism4 5. Was medical imaging used?5 6. Upload file/ add scan report or rehab and write extra6 information about diagnosis 7. Share diagnosis form with other users by email7
  24. 24. • 18 European Top teams• Case: Team working with TopSportsLab• Analysis injuries & benchmarking with other teams• Evolution incidence over 9 seasons
  25. 25. Number of training & matches missed due to injuries

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